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YCA-23274-43686

2 vaccinations 7 coded responses 18 check-ins 7 free-text entries 2 call cases
Sex
Female
Age at first dose
61-65
ZIP prefix
082 / NJ
Registered
2021-12-21
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-12-21
    Registered in v-safe
  2. 2021-12-21
    Dose 1 — Moderna
  3. 2021-12-21
    Health check-in — day 0, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-12-23
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Swelling · Chills, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain
    Adult check-in
  5. 2021-12-24
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-12-25
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  7. 2021-12-26
    Survey response — days 1–6 daily, dose 1
    MedDRA: Unevaluable event — Feeling: Good · None · Get care from a doctor or other healthcare professional
    Free text: Looking for information about purchasing covid at home tests
    MedDRA releases: 2024-11 · check-in free text available
  8. 2021-12-26
    Report sent to call center — days 1–6 daily, dose 1
    Get care from a doctor or other healthcare professional
    1 call case(s)
  9. 2021-12-27
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-12-28
    Survey response — day 7, dose 1
    MedDRA: Back pain — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Back pain
    MedDRA releases: 2024-11 · check-in free text available
  11. 2021-12-28
  12. 2022-01-03
  13. 2022-01-04
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  14. 2022-01-12
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  15. 2022-01-18
    Survey response — day 28, dose 1
    MedDRA: Cough, Night sweats, Pre-existing disease, Rhinorrhoea, Sleep disorder, Somnolence — Feeling: Good
    Free text: Not sure if because of vaccine. I have copd. I am coughing like crazy ,nose running, sleepy and last night I woke up in night with sweats. Thats new,never before. Idk if these are just my normal things
    MedDRA releases: 2024-11 · check-in free text available
  16. 2022-01-19
    Dose 2 — Moderna
  17. 2022-01-26
    Health check-in — day 7, dose 2
    Feeling: Fair · Fatigue or tiredness
    Adult check-in
  18. 2022-02-02
    Survey response — day 14, dose 2
    MedDRA: Cough, Dysphonia — Feeling: Good
    Free text: Probably not from this but my voice horse but I have no pain in my throat. Ive been coughing a lot so that may have strained my vocal chords.
    MedDRA releases: 2024-11 · check-in free text available
  19. 2022-02-09
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  20. 2022-02-16
    Health check-in — day 28, dose 2
    Feeling: Fair
    Adult check-in
  21. 2022-02-24
    Survey response — day 35, dose 2
    MedDRA: Hypersomnia, Malaise — Feeling: Good · Be unable to do your normal daily activities
    Free text: Fri wasn't feeling well,sat i slept almost 24 hours. Sun woke up better and by end of day I was fine.
    MedDRA releases: 2024-11 · check-in free text available
  22. 2022-03-02
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  23. 2022-04-20
    Survey response — 3 months, dose 2
    MedDRA: Cough, Dyspnoea, Pneumonia — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, Hospitalization
    Free text: Had/have pneumonia. I get xray the 26th to check. Now cough and really short of breath. But I do hope COPD.
    MedDRA releases: 2024-11 · check-in free text available
  24. 2022-04-20
    Report sent to call center — 3 months, dose 2
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    Emergency room or emergency department visit · Hospitalization · 1 call case(s)
  25. 2022-04-21
  26. 2022-07-20
    Survey response — 6 months, dose 2
    MedDRA: Induration, Rash, Rash papular, Rash pustular — Feeling: Good
    Free text: Idk if relevant because its been so long since my vaccines. I have bumps in my armpit. They are looking, look like you can squeeze them. The biggest one has big hard bump under it. Not long ago i had same thing.eventually went away. But came back
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-12-21Moderna No
22022-01-19Moderna No

Call center

ReportedOutcomeVAERS-related outcome
2021-12-26 Unsuccessful
2022-04-20 Unsuccessful

Free text

Release 10 — days 1–6 daily, dose 1

2021-12-26

Healthcare visit (other): Looking for information about purchasing covid at home tests

Release 10 — day 7, dose 1

2021-12-28

Systemic reaction (other): Back pain

Release 10 — day 28, dose 1

2022-01-18

Symptoms: Not sure if because of vaccine. I have copd. I am coughing like crazy ,nose running, sleepy and last night I woke up in night with sweats. Thats new,never before. Idk if these are just my normal things

Release 11 — day 14, dose 2

2022-02-02

Symptoms: Probably not from this but my voice horse but I have no pain in my throat. Ive been coughing a lot so that may have strained my vocal chords.

Release 11 — day 35, dose 2

2022-02-24

Symptoms: Fri wasn't feeling well,sat i slept almost 24 hours. Sun woke up better and by end of day I was fine.

Release 11 — 3 months, dose 2

2022-04-20

Symptoms: Had/have pneumonia. I get xray the 26th to check. Now cough and really short of breath. But I do hope COPD.

Release 12 — 6 months, dose 2

2022-07-20

Symptoms: Idk if relevant because its been so long since my vaccines. I have bumps in my armpit. They are looking, look like you can squeeze them. The biggest one has big hard bump under it. Not long ago i had same thing.eventually went away. But came back cut off by CDC

Each entry is dated by the survey it was written in (the CDC re-sent the releases with survey dates in 2025); click a date to see that survey response. The CDC cut some text off at about 250 characters: symptoms in every release, and the other two fields in releases 9-12. Those entries are marked "cut off by CDC".

MedDRA terms by release

FieldPreferred term2021-092023-042024-11
HCVOUnevaluable event · · ✓
SDCough · · ✓
SDDysphonia · · ✓
SDDyspnoea · · ✓
SDHypersomnia · · ✓
SDInduration · · ✓
SDMalaise · · ✓
SDNight sweats · · ✓
SDPneumonia · · ✓
SDPre-existing disease · · ✓
SDRash · · ✓
SDRash papular · · ✓
SDRash pustular · · ✓
SDRhinorrhoea · · ✓
SDSleep disorder · · ✓
SDSomnolence · · ✓
SROBack pain · · ✓

✓ active code · ○ coded but marked inactive · blank = not in that release